Larson Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

535 Issued in AZ

Legal business name

LARSON CHIROPRACTIC INC

Doing business as

Larson Chiropractic Inc

Practice address

280 N White Mountain Rd
Show Low, AZ 85901-5273

Phone

(928) 532-0999

Fax

(928) 532-0237

NPI assigned

Aug 15, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Wade Larson, DC

Title

President

Phone

(928) 532-0999

Specialties & licenses 1

Addresses

Other names 2

• Larson Chiropractic Inc Doing business as
• J. Wade Larson Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504137600000",
    "number": "1598281297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 N WHITE MOUNTAIN RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859015273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N WHITE MOUNTAIN RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859015273",
            "telephone_number": "928-532-0999",
            "fax_number": "928-532-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSON CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-31",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-532-0999",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larson Chiropractic Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "J. Wade Larson",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Richard Marlin Kunkle, LCSW
• Terri Lacey, OT
• Barbara Jo Lacy, R.N.
• Lakeside Chiropractic PC
• Chris A Lambert, LPC
• Alyson Larson, PMHNP-BC
• James Wade Larson, D.C.
• Susan Elaine Lasala-Wood, DNP FNP-C, RNFA
• Eddie Duane Lauritsen
• Richard Lauritzen, LPC

• Chiropractor in Show Low, AZ
• Providers in Show Low, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.